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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
~
STATE OF ~~ PENNA.
,. '~iI!J"~"
, CHARLES J. MOOSE. Jr.
N I', ..11:j,,'1,~,.:,,?,," ..S!~...\..I,~':"11)
Vt'I'.'HI:;
DAWN M.S. MOOSE
DECREE IN
DIVORCE
/- ~
AND NOW, . . . . . . . . . . . . . ."'!'1fJ? . . . . . . . " 19......, it is ordered and
decreed that .... qlA)\).)l!,. ,I... ~lpP.S)l... ,I.r." . . . . . . . . . . . , . . . . . .. .. . " plaintiff,
and. . ... ... . ... ..DAlm .M.S. .MOOSE. . .. .... .. . . .. . . .., . . . .. ...., defendant,
are divorced from the bonds of matrimony.
The court retains jurisdiction of the following claims which have
been raised of record in this action for which a final order has not yet
been entered;
None
" ........ ,..... .... ....... ............ ...... .... ..... to ........ ....t......
. ............ ...... ....... .... ....... ....... ... ...... ...
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PRAECIPE :0 7RA..'lS:-tIT RECORD
To the Prothonotary:
Transmit the record, together ~i:h the following infa~ation. to the court
for entr/ of a divorce decree:
1. Ground for divorce: irret=ie'lable breakdown under Section (201(c))
(201(d) (1) of the Divorce Code. (5t:ike out inapplicable section.)
2. Date and ~nne: of se~lice 0: the complaint:
Personal servIce under PA. R.C.P. 1920.4(e)
':3"-,, -I, ," "l (,
3. (Complete eithe: paragraph (a) or (b) .)
(a) Date of e~ecution of the affidavit of consent required by Section
201(c) of the Divorce Code: by the plaintiff
April 23, 1996
by defendant Anril 21. 1996
(b) (1) Date of e~ecution of the plaintiff's affidavit required by
Section 201(d) of the Divorce Code:
",IA-
(2) Date of service of the plaintiff's affidavit upon the defendant:
4. Related clai::1s pending: none
S. Indicate date and manner of service of the notice of intention to file
praecipe to transmit record, and attach a copy of said notice under section 201
(d)(l)(i) of the Divorce Code.
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CHARLES J. MOOSE, JR. . IN THE COURT OF COMMON PLEAS
.
Plaintiff . CUMBERLAND COUNTY, PENNSYLVANIA
.
.
.
vs. . CIVIL ACTION - LAW
.
DAWN M.S. MOOSE . NO. 95- CIVIL
.
Defendant : IN DIVORCE
Co14Pl.AINT UNDER,SECTIONS.330.lCC)
t\ND,33Q1CD)Or'l'HE PIVORCECOOE
1. Plaintiff is CHARLES J. MOOSE, JR., an adult
individual who currently resides at 221 E. Orange st.
Shippensburg, Cumberland County, PA.
2. Defendant is DAWN M.S. MOOSE, an adult individual
who currently resides at 221 E. Orange Street, Shippensburg,
CUmberland County, PA.
3. plaintiff and Defendant have been bona fide
residents in the Commonwealth of Pennsylvania for at least six
months immediately previous to the filing of this Complaint.
4. The Plaintiff and Defendant were married on
March 31, 1990 in carlisle, Cumberland county, PA.
5. There have been no prior actions of divorce or
for annulment between the parties.
6. The marriage is irretrievably broken.
7. The Plaintiff has been advised of the availability
of counseling and that he may have the right to request that the
court require the parties to participate in counseling.
8. Plaintiff requests the court to enter a decree of
divorce.
CHARLES J. MOOSE, JR.
PLAINTIFF . IN THE COURT OF COMMON PLEAS
.
v. . CUMBERLAND COUNTY,PENNSYLVANIA
.
. CIVIL ACTION-LAW
.
DAWN M.S. MOOSE : NO. ,7&',3(., CIVIL 1995
DEFENDANT . CIVIL ACTION-IN DIVORCE
.
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301 ecl of the
Divorce Code was filed on -:-ji",r') 3 , 199'.
2. The marriage of Plaintiff and Defendant is irretrievably
broken and ninety days have elapsed from the date of filing the
Complaint.
3. I consent to the entry of a final decree of divorce.
4. I understand that if a claim for alimony, al'imony
pendente lite, marital property or counsel fees or expenses has not
been filed with the court before the entry of a final decree in
divorce, the right to claim any of them will be lost.
5. I have been advised of the availability of marriage
counseling and understand that I may request that the court require
that my spouse and I participate in counseling prior to a divorce
decree being handed down by the court.
6. I am not a member of the armed forces, nor in active
military service, of the United States of America or the
Commonwealth of Pennsylvania.
I verify that the statements made in this affidavit are true
and correct. I understand that false statements herein are made
subject to the penalties of 18 Pa. c.s., Section 4904, relating to
unsworn falsification to authoriti;t1 J~
Date: Aer,CH ,'i'lC- ~
CHARLES J. MOOSE JR.
CHARLES J. HOOSE, JR.
PLAINTIFF
DAWN H. S. MOOSE
.
.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION-LAW
NO. 'I"'::J... CIVIL.1333
CIVIL ACTION-IN DIVORCE
v.
DEFENDANT
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301 (c) of the
Divorce Code was filed on -,}",,,,,"\, '."1
, 1996.
2. The marriage of Plaintiff and Defendant is irretrievably
broken and ninety days have elapsed from the date of filing the
Complaint.
3. I consent to the entry of a final decree of divorce.
4. I understand that if a claim for alimony, alimony
pendente lite, marital property or counsel fees or expenses has not
been filed with the court before the entry of a final decree in
divorce, the right to claim any of them will be lost.
5. I have been advised of the availability of marriage
counseling and understand that I may request that the court require
that my spouse and I participate in counseling prior to a divorce
decree being handed down by the court.
6. I am not a member of the armed forces, nor in active
military service, of the United States of America or the
Coaaonwealth of Pennsylvania.
I verify that the statements made in this affidavit are true
and correct. I understand that false statements herein are made
subject to the penalties of 18 Pa. c.s., Section 4904, relating to
unsworn falsification to
Date: ~l""..t..~ ,qq",
~
aut~es. Q
1I1'1 - f bf . 0)1/lf.tl<f
DAWN M. S. MOOSE
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CHARLES J, MOOSE JR.
: IN THE COURT OF COMMON
: PLEAS OF CUMBERLAND
: COUNTY, PENNSYLVANIA
: CIVIL ACTION - LAW
; NO. 1996-36 CIVIL 1996
Vs.
DAWN M.S. MOOSE
Defendant
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE UNDER
3301 (c) OF THE DIVORCE CODE
I, I consenlto the entry of a linal decree of divorce without notice.
2. I understand thai I may lose rights concerning alimony, division of property,
lawyer's fees or ellpenses if I do not claim them before a divorce is b'l"anted.
3. I understand that I will not be divorced until a divorce decree is entered by lhe
Court and that a copy of the decree will be sent to me immedialely aller it is tiled with
the prothonotary.
I verifY that the statements made in the affidavit are true and correct. I
understand that false statements herein are made subject to the penalties of 18 Pa.C.S.
4904 relating to unsworn falsification 10 authorities.
Date:_~ '~(}/\.. !l!,~.(/ltt'~{
Defendant
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